MEDICARE: DR. JUDY JOSEPH-HERBERT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0102X	Surgical Critical Care Physician	D0043371	MD
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD43371	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CI4599P00115588	OTHER	MD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	KJ86AN 546026-06	OTHER	MD	CAREFIRST BCBS
4	S3520016	OTHER	DC	CAREFIRST
5	52938006	OTHER	MD	CAREFIRST
6	V8140004	OTHER		CAREFIRST
7	607156012	OTHER		DEPT OF LABOR

General Provider Information

NPI Number	:	1356342778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY JOSEPH-HERBERT MD

Provider Business Mailing Address
First Line	:	PO BOX 64916
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4916
Country	:	US
Telephone Number	:	443-481-6573
Fax Number	:	443-481-6515

Provider Business Practice Location Address
First Line	:	2001 MEDICAL PKWY
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3280
Country	:	US
Telephone Number	:	443-481-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	09/25/2025

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